Take Shape Plastic Surgery PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

TAKE SHAPE PLASTIC SURGERY PA

Practice address

4161 NW 5TH St
Suite 100
Plantation, FL 33317-2101

Phone

(954) 585-3800

Fax

(954) 585-6100

NPI assigned

Sep 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell F Sassani, MDNPI 1194788026

Title

Owner

Phone

(954) 585-3800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Frank Sassani, MD

  • Plastic Surgery Physician
  • Plantation, FL
  • NPI 1194788026
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1972609816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-585-3800",
            "fax_number": "954-585-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 NW 5TH ST",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172101",
            "telephone_number": "954-585-3800",
            "fax_number": "954-585-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE SHAPE PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SASSANI",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-585-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Paul Tabet, MD
• Jolmar Taborda Porfidio
• Jason Tache, D.O.
• Vivienne Veronica Tai, M.D.
• Tailwind Care Provider Group, P.a.
• Take Shape Surgery Center LLC
• Abanoub Nagy Zaky Takla, M.B.B.CH
• Javier Talamo II, D.O.
• Idalia Talavera-Aviles, M.D.
• Frank B. Talerico, ED.D.

• Plastic Surgery Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.